Physician
Midcarolina Pediatrics
Midcarolina Pediatrics was paid $17.00M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoMIDCAROLINA PEDIATRICS
CHARLOTTE, NC 28273
CHARLOTTE, NC 28273
33aNPI1336188184assigned 06/06/2006
33bProvider typePediatrics Physician
28Total paid$17.00M
24GClaims910,013
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#14 of 433
Median peer was paid$942K
This provider vs. median18×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 75,058 | $2.06M | |
| 2019 | 67,746 | $2.11M | |
| 2020 | 48,148 | $1.53M | |
| 2021 | 113,860 | $2.38M | |
| 2022 | 199,680 | $3.16M | |
| 2023 | 205,826 | $3.14M | |
| 2024incomplete | 199,695 | $2.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 55,082 | 46,165 | $3.40M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 32,578 | 28,163 | $2.99M |
| 99199 | Unlisted special service, procedure or report | 16% | 455,689 | 270,850 | $2.70M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 12,807 | 11,463 | $1.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 11,809 | 10,689 | $1.03M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 8,926 | 7,957 | $881K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 18,254 | 16,481 | $750K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 30,729 | 27,417 | $600K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 15,778 | 12,383 | $565K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 6,633 | 5,921 | $542K |
| 99051 | 1.8% | 11,680 | 10,007 | $297K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 20,741 | 9,161 | $284K |
62 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 27,610 | $260K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 27,215 | $250K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 8,556 | $249K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 3,525 | $116K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 302 | $91K |
| 69210 | <1% | 2,612 | $88K | |
| 87430 | <1% | 6,055 | $84K | |
| 90651 | <1% | 3,630 | $74K | |
| 92551 | <1% | 25,886 | $61K | |
| D1206 | Topical application of fluoride varnish | <1% | 3,536 | $51K |
| 96127 | <1% | 11,930 | $49K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,131 | $45K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 325 | $41K |
| 83655 | <1% | 2,212 | $31K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,906 | $29K |
| 90734 | <1% | 1,612 | $28K | |
| 81002 | <1% | 13,110 | $26K | |
| 99381 | <1% | 287 | $24K | |
| 0071A | <1% | 517 | $21K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,886 | $20K |
| 0072A | <1% | 457 | $20K | |
| 99173 | <1% | 26,003 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 525 | $18K |
| 96161 | <1% | 4,806 | $17K | |
| 0001A | <1% | 325 | $14K | |
| 0002A | <1% | 208 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 720 | $11K |
| 90686 | <1% | 8,318 | $9K | |
| 99070 | <1% | 1,265 | $9K | |
| 82465 | <1% | 1,705 | $9K | |
| 90715 | <1% | 1,282 | $8K | |
| 99383 | <1% | 58 | $5K | |
| 90619 | <1% | 1,217 | $4K | |
| 95117 | <1% | 407 | $4K | |
| 92587 | <1% | 154 | $4K | |
| 86403 | <1% | 288 | $3K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 96 | $3K |
| 90633 | <1% | 3,707 | $2K | |
| 90716 | <1% | 3,195 | $2K | |
| 90620 | <1% | 457 | $2K | |
| 94664 | <1% | 145 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $523.57 |
| 87807 | <1% | 34 | $441.57 | |
| 90707 | <1% | 3,046 | $338.34 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $324.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $237.44 |
| 91300 | <1% | 704 | $186.34 | |
| 91307 | <1% | 999 | $126.09 | |
| 90744 | <1% | 1,537 | $95.60 | |
| 86308 | <1% | 12 | $76.56 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 26 | $65.31 |
| 90700 | <1% | 495 | $29.44 | |
| 90670 | 0% | 5,618 | $0.00 | |
| 90681 | 0% | 269 | $0.00 | |
| 90685 | 0% | 711 | $0.00 | |
| 90698 | 0% | 3,418 | $0.00 | |
| 90680 | 0% | 2,292 | $0.00 | |
| 90647 | 0% | 389 | $0.00 | |
| 90696 | 0% | 694 | $0.00 | |
| 90677 | 0% | 546 | $0.00 | |
| 90656 | 0% | 150 | $0.00 | |
| 99174 | 0% | 132 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialIGHADE, ANDREW (OWNER)